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r SAN JOAOIN COUNTY PUBLIC HEALTH S40VICES 304 E. Wt:Rclt AVE., THIRD Ft.00lt • S'TOCKTON, CA 9:5202 • Puotit: (209) 468-3420 KARLN FURs'r, M.D., M.P.H., 111FALTI1 Ol:r]CI:R DONNA `MILAN. R.E.H.S., DIRLCTOR ENVIRONMENTAL i -If ALIT] DIVISION ENVIRONMENTAL HEALTH SAN JOAQUIN COUNTY CERTIFIED UNIFIED PICOGRAM AGENCY PERMIT TO OPERATE Permit rugranl conn Pro r,unCodealmdUcscriplirnt Valid Record Il) Number g ' PR023144 2300 - UNDERGROUND STORAGE TANK FACILITY 111104 To 12131!00 Underground Storage Tank Pro ram: California Health and Safety Code Div. 20, Chap. 6.7 and Title 23 California Code of Regulations Chap. f6. 776IY-- 6 39UM?1 51441 moue i oo r I uuuaju r —1 '---- - - DOUBLE WALLED ELECTRIJC L LEAK DTEC 2360 5 390002314410508157 PT0009566 14,000 REGULAR UNLEADED Active Underl;rauntl Storage Tank Permit Conditions 1) The Permit to Operate will become void if Annual Permit lees and Service Fees are not paid and/or the UST systenl(s) tails to remain in compliance with these Pemlil Conditions. 2) In order io maintain the 0171cr+ting permit, the permit holder shall comply will, the I I ' S Cock , Div. 2U, C'hap. 6.7 and G.75; and CCR, "title 23, Chap. I(1 and 18, as well as any conditions established by San )oa(Iullm C oullty 3) I filic Tank Opertlor(s) is cllhereat from the 'tank Owner of 1! ttie Permit to Operate is issued to a person oilier than 111c owner or operator atlhe Cork, the Penlullce shall ensure that holh the 'tank Owner and lank t)pentor Ieeelvl: aGolly of lilt permit. 4) Wriltcn Monhlori % PI-(X;Ctlllre'S .Ind an limergcncy Response Pkill must be alppproved by the Environmental I lealttl Division la is for U)) and are cansidererd Cls"1' I'ennrt Conditions. Copies ofthc I'tncedures and F.nlergeney Resplmse i'lan nl+est he attaleled to this pernlit or he available tier review and/ot Inspection 5} `�tth UST site; hc f'crmlttec shall comply will the naorlitoriog procedures rek'errenced in dais penrlil. 6) •flue Permittee shall perform lestin4 and preventive nlaititenancc on all leak detection monitoring equipment Ilnnutd ly, or more frequently ifspceitied by the equipment manu I Icturer, and provide documentation ofsueh servicing to this ol]icc. 7) In the evert ofa spill, Icak, or other trtauthorized release, the Pem+ilee shall comply with the regtmircllmcnts of 'idle 23 CCP, Chap. 16, Art. 5, and the approved Emergency Response Plan. 8) Written records ofall monitoring performed shall be maintained on-site by the open, nor anti be available for inspection fora period ofat ]cast three years Baum the (Lite the monitoring was perlormcd. 9) 'the ill ISIF,''l11) shall be notified of any change in ownership or operation of the t1s"r system within all days of such change. IU) L}pon any chIII12C in equipment, design or operation o I'llie LISTsystem (including change in lank contents or usage), the Permit to Operate will Ix stlbiect to review, modification lir revocation. 11) ('onstraction, repair andlmlr removal permits are regmmed from the Ill WEI11) prior to any change, repair or removal of USI' system c(lllil)I11clll. 12) The Permittee shall sublllit all annual report doctimenting compliance with the UST Permit C011diti OlIS within 30 (Llys of the oinivcrsaiy dale oI ilii: ISS1.1i611CC of this permit. 13) This Permit to Operate shall not be considered permission to violate any laws, ordinances or statutes of amy other Federal, state or Local agency. 14) A "Conditional" Permit may be revoked ifcorrections specified on the inspection report are not completed by the dalc(s) indicated. PERMITS TO OPERATE are NOT TRANSFERABLE and>Inay be SUSPENDED or REVOKED for cause. PERMIT(s) Valid only for: ULTRAMAR INC t'llls FOlthl MlUS'r RE I)I ;1'l.,\YI?p ('ONS!'1('IIOlISL1' (1N TIIl. 1'RENIIISES Facility ID FA0003604 Regulated Facility: BEACON STATION #492" Account lD AR0003182 470 N MAIN ST Issued 10!912000 MANTECA, CA 95336 Billing Address: ATTN : LICENSE DEPARTMENT ULTRAMAR INC PO BOX 696000 SAN ANTONIO, TX 78269-6004 7023 rpt 0 0